OrganizationActive
Prosyre, LLC
NPI 1346680154 · Public Health & General Preventive Medicine Physician · Jefferson City, MO
Provider details
- NPI number
- 1346680154
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Horner, Owner(573) 638-2012
- License
- 36946 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1735 Elm Ct
Jefferson City, MO 65101-4129
Phone: (573) 638-2012
Fax: (573) 761-4249
Approximate (ZIP-level) locationGet directions
Mailing address
1735 Elm Ct
Jefferson City, MO 65101-4129
Registry dates
- Enumerated
- 2013-06-26
- Last updated
- 2013-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.